Zimmer, Theresa A.

Zimmer, Theresa A. is an individual health care provider with primary practice located at 819 S Salina St , Syracuse NY 13202-3536. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Zimmer, Theresa A. can be contacted via phone (315) 476-7921.

Contact Information

Primary practice address
819 S Salina St Syracuse NY 13202-3536
Phone: (315) 476-7921
Fax: (315) 475-1448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F380579 New York

Profile Details

NPI number 1760444392
LBN Legal business name Zimmer, Theresa A.
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Mar 30th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760444392 NPPES
New York MEDICAID 01550027

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